Evans, David

Evans, David is an sole proprietor health care provider with primary practice located at 3533 Southern Blvd Ste 2250 , Kettering OH 45429-1270. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Evans, David can be contacted via phone (937) 534-0330.

Contact Information

Primary practice address
3533 Southern Blvd Ste 2250 Kettering OH 45429-1270
Phone: (937) 534-0330
Fax: (937) 522-8995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50000431 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50000431 Ohio

Profile Details

NPI number 1063410538
LBN Legal business name Evans, David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Jan 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063410538 NPPES
Ohio MEDICAID 0088798

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